Course Description:

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This course consists of four modules. You’ll earn four hours of continuing education credit upon completion.

Sedation dentists treat patients with a variety of diseases. Some of those diseases, like asthma, are commonplace and well diagnosed. Others, like sleep apnea, are common but go largely undiagnosed. Still, others like osteonecrosis of the jaw appear as adverse reactions caused by drugs used for bone cancers and osteoporosis.

Treating patients with disease or symptoms of disease requires a keen understanding of how their body is likely to respond to sedatives. It also requires knowing how the drugs they’re taking interact with sedatives. In this recertification course, Drs. Anthony Feck and Leslie Fang share patient selection best practices. They also reveal new treatment options for patients who want sedation dentistry but suffer from compromised health.

Asthma and COPD

According to the CDC, more than 25 million Americans have asthma and 11 million Americans have COPD (millions more may be undiagnosed). At present, neither disease has a cure; treatment relies on management through medication. In this module, Dr. Feck provides an overview of the respiratory system and symptoms that indicate respiratory stress.

In addition, you’ll learn:

  • Why experience can hurt established sedation dentists
  • The difference between hypercarbic and hypoxic drive responses
  • The best diagnostic tests for assessing respiratory function


… and more.

Sleep Apnea

Identifying patients with sleep apnea, the partial or complete obstruction of the airway, should be a priority for sedation dentists. Why? Because of the enormous strain it puts on a patient’s health. In this module, Dr. Feck describes sleep apnea: its symptoms, its forms, and its prevalence.  

In addition, you’ll learn:

  • Why sleep apnea drives oral parafunctional habits
  • How to use a pulse oximeter to replicate the effects of sleep apnea
  • Why you should use short-acting sedatives with apnea patients

… and more.

Peri-Implant Mucositis and Peri-Implantitis

The same pathogens that cause periodontal disease cause peri-implantitis. Yet, the former is well known, affecting up to 65 million Americans, while the latter is known only by dentists and those with failing implants. In this module, Drs. Feck and Fang discuss effective protocol for treating two site-specific diseases that may affect patients with implants.

  • Why “snot clots” are essential for treating infected gums
  • How to prepare and apply platelet-rich plasma
  • Why the “golden protocol” is never wrong, but isn’t always the best option

… and more.

Medication Related Osteonecrosis of the Jaw

Medication related osteonecrosis of the jaw (MRONJ) is an adverse reaction to drug therapy. It’s difficult to treat. Both anti-cancer drugs (angiogenesis inhibitors) and bone-strengthening drugs (bisphosphonates) have been associated with MRONJ cases. In this module, Drs. Fang and Feck look at the clinical implications of MRONJ for dentists.

In addition, you’ll learn:

  • Why cancer survivors may be vulnerable to invasive dentistry
  • The three cancer patients most likely to be using anti-angiogenics
  • How to treat a patient before he or she begins IV bisphosphonate therapy

… and more.

Keep your oral sedation permit current while gleaning insight from two doctors with more than 75 years of combined experience.

Buy this course today and access it for one full year.

All sales are final.

Purchase of this course grants access for one year and requires an internet connection, computer with video and audio capabilities, and in some cases, Adobe Reader to view handouts and articles.

Watch the video and complete the quiz to earn 4 CE credits.

Scientific support and additional resources are available here. 

You can download this course and watch it anywhere using the DOCS APP. Get it on Google Play or the Apple Store.

This course requires an active sedation permit or previous attendance at Adult Oral Sedation Dentistry, Light Sedation: N2O and Oral Sedatives, Master Series – Advanced Sedation, IV Sedation Certification or IV Sedation Recertification.


(AGD Code - Definition - Hours)

750 (Special Patient Care: Dentistry for the Medically Compromised) - 4 hours

Total hours: 4 hours

Original release date: 4/15/2019


DOCS online courses are available to the purchaser for one year from date of purchase.
No refund of course tuition is available.



Dr. Anthony Feck

How can I meet my state’s requirements?

To learn more about how DOCS Education’s full range of courses can satisfy your state’s regulatory requirements, visit This unique online resource is kept up-to-date with the latest in sedation legislation by DOCS Education’s fulltime regulatory counsel. Contact one of our course advisers with any questions or visit our course listings to see upcoming classes and locations.

DOCS Education courses carry the AGD PACE certification

DOCS Education is the nation’s premier provider of safe sedation and advanced dentistry education, having trained almost 24,000 dentists. Since 2000, our courses have been accepted by the AGD for Fellowship/Mastership and membership maintenance credit. We offer extensive CE opportunities, both in-person and online, that meet your needs.

What is DOCS Education?

DOCS Education is an exclusive community of professionals serving at the forefront of dentistry. We offer world-class courses on safe sedation and advanced dentistry, relying on instructors who are consistently ranked among the very best in the nation. We also are a supportive network of members who guide one another to be better, more confident, more successful dentists.